A study of clinical profile in patients with vestibular and non-vestibular vertigo

Abstract

Background: Dizziness is the 3rd commonest cause for presentation to a general practitioner and its causes are mainly otologi-cal followed by central, sensory and visual. Diagnosis of dizziness is majorly clinical. However, there is a lack of quality studies evaluating the clinical profile in vertigo and dizziness of different origin(vestibular and non-vestibular) and different age groups. Moreover, we have seen that a significant bulk of the patient present with “cervicogenic giddiness” but at present, there are no standard guidelines for diagnostic criteria for cervicogenic giddiness which may occur alone or associated with other types of giddiness and that treating such patients with physiotherapy can relieve and even reverse the condition. Objectives: To study the clinical profile in patients with vestibular and non-vestibular vertigo. To study any association between cervicogenic vertigo and labyrinthine vertigo, like Benign Paroxysmal Positional Vertigo and Meniere’s Disease. To study clinical features in patients with dizziness and vertigo, when multiple conditions co-exist. Methods: In all the 96 patients of dizziness or vertigo, a pre-designed proforma will be filled, followed by a general and systemic examination with special emphasis on cardiovascular and a detailed neurological assessment. Special Clinical Tests for vertigo like Dix-Hall pike Manoeuvre, Tandem walking, Dysdiadokokinesis, tests for postural hypotension, Vertebrobasilar insufficiency, cervicogenic dizziness will be carried out. Results: The collected data will be tabulated and statistical analysis will be done by estimating means and standard deviations for various measurements related to radiologic and other measurements. Conclusion: This study will help the clinicians for better understanding of giddiness and differentiate between different types of giddiness in different age groups and their association with changes in the cervical spine and association with cervicogenic giddiness.